@article{WeckWitthoeft2017,
  author    = {Weck, Florian and Witth{\"o}ft, Michael},
  title     = {Context effects in the evaluation of bodily symptoms},
  series = {Journal of experimental psychopathology},
  volume    = {8},
  journal   = {Journal of experimental psychopathology},
  publisher = {Sage Publishing},
  address   = {London},
  issn      = {2043-8087},
  doi       = {10.5127/jep.054216},
  pages     = {241 -- 251},
  year      = {2017},
  abstract  = {The illness-related evaluation of bodily symptoms is considered to be an important maintaining factor in somatoform disorders. However, little is known about context variables that could influence this evaluation process. In the current study, participants completed three versions of the Health Norms Sorting Task (HNST) and evaluated bodily symptoms in different contexts (i.e., different evaluation perspectives and time frames of evaluation). Additionally, the three HNST versions were presented in different orders. Bodily symptoms were evaluated more often as a sign of illness when a specific time frame (i.e., one week) was given. However, this context effect was only large when participants had previously evaluated symptoms existing without a concrete duration. Thus, previously completed symptom evaluations appear to represent an important frame of reference in terms of a cue that makes specific context variables salient. The results further suggested that these cueing effects might be less relevant for participants with elevated somatic symptom reports.},
  language  = {en}
}
@article{WeckNagelRichtbergetal.2017,
  author    = {Weck, Florian and Nagel, Laura Carlotta and Richtberg, Samantha and Neng, Julia M. B.},
  title     = {Personality disorders in hypochondriasis},
  series = {Journal of personality disorders},
  volume    = {31},
  journal   = {Journal of personality disorders},
  publisher = {Guilford Press},
  address   = {New York},
  issn      = {0885-579X},
  pages     = {567 -- 576},
  year      = {2017},
  abstract  = {Previous studies found high prevalence rates of personality disorders (PDs) in patients with hypochondriasis; however, assessment was often based only on questionnaires. In the current study, a sample of 68 patients with hypochondriasis was compared to 31 patients with panic disorder and to 94 healthy controls. Participants were investigated with the Structured Clinical Interview for DSM-IV Personality Disorders questionnaire (SCID-II questionnaire) and the SCID-II interview. Based on the cut-off scores of the SCID-II questionnaire, we found a prevalence rate of 45.6\% for PD in patients with hypochondriasis. In comparison to healthy controls, patients with hypochondriasis showed characteristics of paranoid, borderline, avoid ant, and-dependent PDs in the dimensional assessment significantly more often. However, no significant differences were found between the clinical samples. Based on the SCID-II interview, only 2.9\% of the patients with hypochondriasis fulfilled the criteria for a PD. These results suggest that PDs are not a specific characteristic of hypochondriasis.},
  language  = {en}
}
@article{WeckNagelHoeflingetal.2017,
  author    = {Weck, Florian and Nagel, Laura Carlotta and Hoefling, Volkmar and Neng, Julia M. B.},
  title     = {Cognitive Therapy and Exposure Therapy for Hypochondriasis (Health Anxiety): A 3-Year Naturalistic Follow-Up},
  series = {Journal of consulting and clinical psychology},
  volume    = {85},
  journal   = {Journal of consulting and clinical psychology},
  publisher = {American Psychological Association},
  address   = {Washington},
  issn      = {0022-006X},
  doi       = {10.1037/ccp0000239},
  pages     = {1012 -- 1017},
  year      = {2017},
  abstract  = {Objective: Cognitive-behavioral therapy (CBT) has been shown to be effective in treating hypochondriasis. However, there are doubts regarding the long-term effectiveness of CBT for hypochondriasis, in particular for follow-up periods longer than 1 year. The aim of the present study was to evaluate the long-term effectiveness of cognitive therapy (CT) and exposure therapy (ET) for the treatment of hypochondriasis. Method: Seventy-five patients with a diagnosis of hypochondriasis who were previously treated with CT or ET were contacted 3 years after treatment. Fifty (67\%) patients participated and were interviewed by an independent and blinded diagnostician using standardized interviews. Results: We found further improvements after therapy in primary outcome measures (d = .37), general functioning (d = .38), and reduced doctor visits (d = .30) during the naturalistic follow-up period. At the 3-year follow-up, 72\% of the patients no longer fulfilled the diagnosis of hypochondriasis. Based on the main outcome measure, we found response rates of 76\% and remission rates of 68\%. At follow-up, only 4\% of patients were taking antidepressant medication. Additional psychological treatment was utilized by 18\% of the patients during the follow-up period (only 8\% because of health anxiety). We found no overall differences between CT and ET. Only a trend for a greater deterioration rate in CT (13\%) in comparison to ET (0\%) was found. Conclusions: Our results suggest that 2/3 of the patients with hypochondriasis were remitted in the long term. Thus, remission rates after CBT were twice as high as in untreated samples.},
  language  = {en}
}
@article{WeckKaufmannWitthoeft2017,
  author    = {Weck, Florian and Kaufmann, Yvonne Marie and Witth{\"o}ft, Michael},
  title     = {Topics and techniques in clinical supervision in psychotherapy training},
  series = {Cognitive Behaviour Therapist},
  volume    = {10},
  journal   = {Cognitive Behaviour Therapist},
  publisher = {Cambridge University Press},
  address   = {Cambridge},
  issn      = {1754-470X},
  doi       = {10.1017/S1754470X17000046},
  pages     = {17},
  year      = {2017},
  abstract  = {Clinical supervision is regarded as one of the most important components of psychotherapy training. In clinical practice, it has been found that the implementation of clinical supervision varies substantially and often differs from the recommendations made in the literature. The objective of the current study was to investigate the frequency of topics (e.g. ethical issues) and techniques (e.g. role play) in the clinical supervision of psychotherapy trainees in Germany. To this end, we considered supervisions in cognitive behavioural therapy (CBT) and psychodynamic therapy (PT). A total of 791 psychotherapy trainees (533 CBT and 242 PT) were asked via the internet to provide information about their current supervision sessions. We found that clinical supervision in psychotherapy training addressed topics that are central for the effective treatment of supervised patients (i.e. therapeutic interventions, therapeutic alliance, maintaining factors, and therapeutic goals). However, the most frequently used intervention in clinical supervision in psychotherapy training was case discussion. Rarely were techniques used that allowed the supervisor to give the supervisee feedback based on the supervisee's demonstrated competencies. For example, 46\% of the supervisors never used audiotapes or videotapes in the supervision. Differences between CBT and PT were rather small. Current practice regarding the techniques used in clinical supervision for psychotherapy trainees contradicts recommendations for active and feedback-oriented clinical supervision. Thus the potential of clinical supervision might not be fully used in clinical practice.},
  language  = {en}
}
@article{WeckJungaKliegletal.2021,
  author    = {Weck, Florian and Junga, Yvonne Marie and Kliegl, Reinhold and Hahn, Daniela and Brucker, Katharina and Witth{\"o}ft, Michael},
  title     = {Effects of competence feedback on therapist competence and patient outcome},
  series = {Journal of consulting and clinical psychology},
  volume    = {89},
  journal   = {Journal of consulting and clinical psychology},
  number    = {11},
  publisher = {American Psychological Association},
  address   = {Washington},
  issn      = {0022-006X},
  doi       = {10.1037/ccp0000686},
  pages     = {885 -- 897},
  year      = {2021},
  abstract  = {Objective: Therapist competence is considered essential for the success of psychotherapy. Feedback is an intervention which has the potential to improve therapist competence. The present study investigated whether competence feedback leads to an improvement of therapist competence and patient outcome. Method: Sixty-seven master-level clinical trainees were randomly assigned to either a competence feedback group (CFG) or a control group (CG). Patients with a diagnosis of major depression (N = 114) were randomly assigned to CFG or CG. Treatment included 20 individual sessions of cognitive behavioral therapy (CBT). In CFG, therapists received, parallel to the treatment, five competence feedbacks, based on videotaped therapy sessions. Independent raters assessed therapist competence with the Cognitive Therapy Scale (CTS) and provided the competence feedback. Patient outcome was evaluated with the Beck Depression Inventory-II (BDI-II) and therapeutic alliance (Helping Alliance Questionnaire [HAQ]) from both therapist's (HAQ-T) and patient's (HAQ-P) perspective were evaluated after each of the 20 sessions. Results: (a) Therapist competence (CTS) increased significantly more for CFG than CG. (b) Depression (BDI-II) decreased significantly across sessions for both groups, but without evidence for a group-differential benefit for the CFG. (c) Therapeutic alliance (HAQ-T/P) increased significantly across sessions for both groups from both perspectives, but without group differences. (d) There is a positive effect of BDI-II on CTS at the beginning and a negative effect of CTS on BDI-II at the end of therapy. Conclusion: Competence feedback improves therapists' independently rated competence, but there is no evidence that competence feedback in CBT leads to better outcome. What is the public health significance of this article? This study suggests the substantial value of systematic competence feedback for improving therapist competence in the psychotherapy of depression. No significant effect of competence feedback on the reduction of reported depressive symptoms was found.},
  language  = {en}
}
@article{WeckGrikscheitHoeflingetal.2016,
  author    = {Weck, Florian and Grikscheit, Florian and H{\"o}fling, Volkmar and Kordt, Anne and Hamm, Alfons O. and Gerlach, Alexander L. and Alpers, Georg W. and Arolt, Volker and Kircher, Tilo and Pauli, Paul and Rief, Winfried and Lang, Thomas},
  title     = {The role of treatment delivery factors in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia},
  series = {Journal of anxiety disorders},
  volume    = {42},
  journal   = {Journal of anxiety disorders},
  publisher = {Elsevier},
  address   = {Oxford},
  issn      = {0887-6185},
  doi       = {10.1016/j.janxdis.2016.05.007},
  pages     = {10 -- 18},
  year      = {2016},
  abstract  = {Treatment delivery factors (i.e., therapist adherence, therapist competence, and therapeutic alliance) are considered to be important for cognitive behavioral therapy (CBT) for panic disorder and agoraphobia (PD/AG). In the current study, four independent raters conducted process evaluations based on 168 two-hour videotapes of 84 patients with PD/AG treated with exposure-based CBT. Two raters evaluated patients' interpersonal behavior in Session 1. Two raters evaluated treatment delivery factors in Session 6, in which therapists provided the rationale for conducting exposure exercises. At the 6-month follow-up, therapists' adherence (r = 0.54) and therapeutic alliance (r = 0.31) were significant predictors of changes in agoraphobic avoidance behavior; therapist competence was not associated with treatment outcomes. Patients' interpersonal behavior in Session 1 was a significant predictor of the therapeutic alliance in Session 6 (r = 0.17). The findings demonstrate that treatment delivery factors, particularly therapist adherence, are relevant to the long-term success of CBT for PD/AG.},
  language  = {en}
}
@misc{Weck2021,
  author    = {Weck, Florian},
  title     = {Ein praxisnaher Leitfaden zur kognitiv-verhaltenstherapeutischen Behandlung von Auftritts{\"a}ngsten bei Musikerinnen und Musikern},
  series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  volume    = {50},
  journal   = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  number    = {1},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  isbn      = {978-3-8017-2988-2},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000615},
  pages     = {46 -- 47},
  year      = {2021},
  language  = {de}
}
@misc{Weck2021,
  author    = {Weck, Florian},
  title     = {Ein hilfreicher Leitfaden zur Verfassung des Berichts an den Gutachterim Rahmen der Verhaltenstherapie},
  series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  volume    = {49},
  journal   = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  number    = {3},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000553},
  pages     = {193 -- 194},
  year      = {2021},
  abstract  = {Seit dem 01. 04. 2017 erfolgte eine umfangreiche Reform der Psychotherapie-Richtlinie. Neben der Einf{\"u}hrung neuer Leistungen (z. B. Akutbehandlung, psychotherapeutische Sprechstunde) wurden auch {\"A}nderungen im Ablauf und der Beantragung von Psychotherapie beschlossen. Beispielsweise ist der Bericht an den Gutachter bzw. die Gutachterin seltener eine notwendige Voraussetzung zur Durchf{\"u}hrung einer psychotherapeutischen Behandlung, als dass zuvor der Fall war. Im Zuge der Reform wurde auch der Leitfaden f{\"u}r die Gestaltung des Berichts an den Gutachter bzw. die Gutachterin {\"u}berarbeitet. Vor dem Hintergrund der Psychotherapie-Richtlinien-Reform ist das Werk „Leitfaden f{\"u}r den VT-Bericht an den Gutachter" von Daniel Surall und Oliver Kunz sehr willkommen. Das Buch gliedert sich insgesamt in zehn Kapitel, in denen die Autoren ausf{\"u}hrlich auf den reformierten Bericht an den Gutachter bzw. an die Gutachterin eingehen. In den ersten beiden Kapiteln fassen die Autoren die {\"A}nderungen zur Psychotherapie-Richtlinie und im Bericht an den Gutachter / die Gutachterin zusammen. In den folgenden sechs Kapiteln wird auf die einzelnen Abschnitte des neuen Berichts an den Gutachter/die Gutachterin eingegangen. Sehr hilfreich ist hierbei, dass die Autoren zahlreiche Fallbeispiele nutzen, um die einzelnen Abschnitte des Berichts an den Gutachter/die Gutachterin zu erl{\"a}utern. Auch die {\"u}bersichtliche Darstellungsform in Form von Tabellen (z. B. zur Darstellung der Verhaltensanalyse) erleichtert den Leser_innen die Nachvollziehbarkeit der Inhalte. Erfreulich ist auch, dass die Autoren hinsichtlich der Antragstellung auch immer auf Unterschiede zwischen erwachsenen Patient_innen und Kindern und Jugendlichen eingehen. Im neunten Kapitel des Leitfadens wird ausf{\"u}hrlicher das Thema Umwandlungs- und Fortf{\"u}hrungsantr{\"a}ge aufgegriffen. Dies ist insbesondere sinnvoll, da nach der neuen Psychotherapie-Richtlinie f{\"u}r Kurzzeitantr{\"a}ge in der Regel keine Berichtspflicht besteht und Umwandlungs- und Fortf{\"u}hrungsantr{\"a}ge in der Praxis h{\"a}ufiger als zuvor von Relevanz sein d{\"u}rften. Im zehnten Kapitel wird in knapper Weise darauf eingegangen, wie bei Ablehnung oder K{\"u}rzung von beantragten Leistungen vorgegangen werden kann. Das Buch umfasst einen umfangreichen Anhang (67 Seiten), in dem Beispiele f{\"u}r Berichte an den Gutachter / die Gutachterin und Behandlungspl{\"a}ne f{\"u}r verschiedene psychische St{\"o}rungen zu finden sind. Auch hierbei werden sowohl Berichte f{\"u}r Erwachsene als auch f{\"u}r Kinder und Jugendliche pr{\"a}sentiert. Zudem beinhaltet der Anhang des Buches das Berner Inventar f{\"u}r Therapieziele, Ausz{\"u}ge aus dem AMDP-Befundbogen (Arbeitsgemeinschaft Methodik und Dokumentation in der Psychiatrie, 2018)<\litr>, den Leitfaden zum Erstellen des Berichts an die Gutachter_innen (PTV 3) sowie einer Gegen{\"u}berstellung des alten und des neuen Leitfadens f{\"u}r den Bericht an die Gutachter_innen. Bei dem von Surall und Kunz vorgelegten Buch handelt es sich um einen {\"a}ußerst hilfreichen Leitfaden, der Therapeut:innen bei der Abfassung des Berichts an den Gutachter / die Gutachterin im Rahmen der Verhaltenstherapie unterst{\"u}tzen kann. Hierbei kann der Leitfaden Psychotherapeut_innen in Ausbildung bei der Abfassung ihrer ersten Antr{\"a}ge unterst{\"u}tzen. Aber auch erfahrenen Kolleg_innen k{\"o}nnen bei dem {\"U}bergang in die neuen Antragsformalit{\"a}ten, die mit der Reform der Psychotherapie-Richtlinie einhergingen, unterst{\"u}tzen werden. Hierbei ist insbesondere die Im Anhang befindliche Gegen{\"u}berstellung des alten und des neuen Leitfadens f{\"u}r den Bericht an den Gutachter / die Gutachterin hilfreich, um sich einen schnellen {\"U}berblick {\"u}ber die {\"A}nderungen zu verschaffen. Insgesamt werden die einzelnen Abschnitte des Berichts an den Gutachter / die Gutachterin sehr gut strukturiert und verst{\"a}ndlich erl{\"a}utert. Die vielen Beispiele und die ausf{\"u}hrlichen Materialien im Anhang erg{\"a}nzen zudem die Erl{\"a}uterungen und erleichtern das Verst{\"a}ndnis. Zu Beginn des Buches w{\"a}re zudem noch eine Abbildung hilfreich gewesen, die den Ablauf der Beantragung von Psychotherapie schematisch darstellt, um einen genaueren {\"U}berblick {\"u}ber die Beantragung von Psychotherapie nach der neuen Psychotherapie-Richtlinie zu erhalten. Auch ein Stichwortverzeichnis w{\"u}rde die Suche nach bestimmten Inhalten erleichtern. Zusammenfassend kann festgehalten werden, dass es sich bei dem Werk von Surall und Kunz um einen sehr empfehlenswerten Leitfaden handelt, der im Rahmen der Antragstellung von Verhaltenstherapie genutzt werden kann. Aufgrund der klaren Struktur und Anschaulichkeit durch viele Beispielantr{\"a}ge bringt das Buch alle Voraussetzungen mit, um sich als Standartwerk zu etablieren, dass Therapeut_innen bei der Beantragung von Verhaltenstherapie in {\"a}ußerst hilfreicher Weise unterst{\"u}tzt.},
  language  = {de}
}
@article{SchwindNengWeck2016,
  author    = {Schwind, Julia and Neng, Julia M. B. and Weck, Florian},
  title     = {Changes in Free Symptom Attributions in Hypochondriasis after Cognitive Therapy and Exposure Therapy},
  series = {Behavioural and cognitive psychotherapy : ournal of the British Association for Behavioural and Cognitive Psychotherapies},
  volume    = {44},
  journal   = {Behavioural and cognitive psychotherapy : ournal of the British Association for Behavioural and Cognitive Psychotherapies},
  publisher = {Cambridge Univ. Press},
  address   = {New York},
  issn      = {1352-4658},
  doi       = {10.1017/S1352465816000163},
  pages     = {601 -- 614},
  year      = {2016},
  language  = {en}
}
@misc{SchwindNengWeck2016,
  author    = {Schwind, Julia and Neng, Julia M. B. and Weck, Florian},
  title     = {Changes in free symptom attributions in hypochondriasis after cognitive therapy and exposure therapy},
  series = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Postprints der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {457},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-414169},
  pages     = {14},
  year      = {2016},
  abstract  = {Background: Cognitive-behavioural therapy can change dysfunctional symptom attributions in patients with hypochondriasis. Past research has used forced-choice answer formats, such as questionnaires, to assess these misattributions; however, with this approach, idiosyncratic attributions cannot be assessed. Free associations are an important complement to existing approaches that assess symptom attributions. Aims: With this study, we contribute to the current literature by using an open-response instrument to investigate changes in freely associated attributions after exposure therapy (ET) and cognitive therapy (CT) compared with a wait list (WL). Method: The current study is a re-examination of a formerly published randomized controlled trial (Weck, Neng, Richtberg, Jakob and Stangier, 2015) that investigated the effectiveness of CT and ET. Seventy-three patients with hypochondriasis were randomly assigned to CT, ET or a WL, and completed a 12-week treatment (or waiting period). Before and after the treatment or waiting period, patients completed an Attribution task in which they had to spontaneously attribute nine common bodily sensations to possible causes in an open-response format. Results: Compared with the WL, both CT and ET reduced the frequency of somatic attributions regarding severe diseases (CT: Hedges's g = 1.12; ET: Hedges's g = 1.03) and increased the frequency of normalizing attributions (CT: Hedges's g = 1.17; ET: Hedges's g = 1.24). Only CT changed the attributions regarding moderate diseases (Hedges's g = 0.69). Changes in somatic attributions regarding mild diseases and psychological attributions were not observed. Conclusions: Both CT and ET are effective for treating freely associated misattributions in patients with hypochondriasis. This study supplements research that used a forced-choice assessment.},
  language  = {en}
}
@article{SamaanSauerMuelleretal.2020,
  author    = {Samaan, Mareike and Sauer, Elena and M{\"u}ller, Marie and Fydrich, Thomas and Diefenbacher, Albert and Burian, Ronald and Schade, Christoph and Weck, Florian},
  title     = {Entwicklung und Validierung von Skalen zur Erfassung der Adh{\"a}renz im transdiagnostischen Gruppensetting f{\"u}r ACT und KVT},
  series = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis},
  volume    = {49},
  journal   = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie : Forschung und Praxis},
  number    = {1},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000566},
  pages     = {63 -- 71},
  year      = {2020},
  abstract  = {Zusammenfassung Theoretischer Hintergrund: Therapeutische Adh{\"a}renz ist eine zentrale Voraussetzung zur Sicherung der Validit{\"a}t von Psychotherapiestudien. Bisher existieren im deutschsprachigen Raum keine Skalen zur Erfassung der Adh{\"a}renz im Bereich der Akzeptanz- und Commitmenttherapie (ACT). Fragestellung: Ziel war es, Skalen zur Erfassung der Adh{\"a}renz von Therapeut_innen f{\"u}r ACT und der Kognitiven Verhaltenstherapie (KVT) zu entwickeln und deren G{\"u}tekriterien zu {\"u}berpr{\"u}fen. Methode Die Validierung der Adh{\"a}renzskalen basierte auf n=38 ACT- und n=31 KVT-Gruppentherapiesitzungen zur Behandlung von depressiven und gemischten St{\"o}rungsbildern. Die Adh{\"a}renz wurde durch zwei Rater_innen anhand von Audioaufzeichnungen bewertet. Ergebnisse: Sowohl f{\"u}r die ACT-Adh{\"a}renzskala (ICC=.96) als auch f{\"u}r die KVT-Adh{\"a}renzskala (ICC=.98) konnten hohe Interraterreliabilit{\"a}ten erreicht werden. Die konvergente Validit{\"a}t konnte anhand einer negativen Korrelation zwischen den beiden Skalen sichergestellt werden (r=-.95). Schlussfolgerungen Beide Adh{\"a}renzskalen bieten eine erste M{\"o}glichkeit, um manualgetreues Therapeut_innenverhalten in ACT- und KVT-Gruppentherapien f{\"u}r Patient_innen mit gemischten St{\"o}rungsbildern zu erfassen. Zudem geben die Ergebnisse einen Hinweis darauf, dass sich die beiden Methoden voneinander differenzieren lassen.},
  language  = {de}
}
@article{RothRawaldWeck2021,
  author    = {Roth-Rawald, Julia and Weck, Florian},
  title     = {Krankheits{\"a}ngste bei Psychotherapeut_innen},
  series = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie},
  volume    = {50},
  journal   = {Zeitschrift f{\"u}r klinische Psychologie und Psychotherapie},
  number    = {2},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000624},
  pages     = {57 -- 67},
  year      = {2021},
  abstract  = {Hintergrund: Krankheits{\"a}ngste beziehen sich meist auf die Angst vor dem Leiden an somatischen Erkrankungen. In Einzelfallberichten wurden auch {\"A}ngste vor psychischen St{\"o}rungen berichtet, jedoch bisher nicht systematisch untersucht. Psychotherapeut_innen sind st{\"a}ndig mit psychischen Erkrankungen konfrontiert. Fragestellung: Diese Studie untersucht, wie stark Krankheits{\"a}ngste bei Psychotherapeut_innen ausgepr{\"a}gt sind und welche Faktoren diese beeinflussen. Methoden: Insgesamt 239 Psychotherapeut_innen wurden per anonymer Onlinebefragung mit den Illness Attitude Scales und der Mini-Symptom-Checklist untersucht. Ergebnisse: Krankheits{\"a}ngste bei Psychotherapeut_innen waren geringer ausgepr{\"a}gt als in der Allgemeinbev{\"o}lkerung und bei Psychologiestudierenden. Faktoren wie die allgemeine psychische Belastung und das Vorhandensein tats{\"a}chlicher Diagnosen gingen mit erh{\"o}hten Krankheits{\"a}ngsten einher. Schlussfolgerungen: Krankheits{\"a}ngste k{\"o}nnen sich nicht nur auf somatische Erkrankungen beziehen, sondern auch psychische St{\"o}rungen betreffen. Eine st{\"a}rkere Ber{\"u}cksichtigung psychischer Krankheits{\"a}ngste und deren weitere systematische Erfassung erscheinen daher w{\"u}nschenswert.},
  language  = {de}
}
@article{RothRawaldKuehneLazaridesetal.2020,
  author    = {Roth-Rawald, Julia and K{\"u}hne, Franziska and Lazarides, Rebecca and Weck, Florian},
  title     = {Krankheits{\"a}ngste bei Psychologiestudierenden},
  series = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  volume    = {49},
  journal   = {Zeitschrift f{\"u}r Klinische Psychologie und Psychotherapie},
  number    = {2},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {1616-3443},
  doi       = {10.1026/1616-3443/a000578},
  pages     = {103 -- 112},
  year      = {2020},
  abstract  = {Theoretischer Hintergrund: Als Medical Students' Disease wird die Angst von Medizinstudierenden bezeichnet, unter Krankheiten zu leiden, mit denen sie sich im Studium auseinandersetzen. Fragestellung: Es wurde untersucht, ob {\"a}hnliche Ph{\"a}nomene vor{\"u}bergehender Krankheits{\"a}ngste auch bei Psychologiestudierenden existieren. Methode: Mittels etablierter Illness-Attitude-Scales (IAS) und einer eigens entwickelten Erg{\"a}nzung wurden {\"A}ngste vor somatischen und psychischen Erkrankungen erhoben. Ergebnisse: Krankheits{\"a}ngste bei Psychologiestudierenden waren nicht st{\"a}rker ausgepr{\"a}gt als bei Studierenden anderer Fachrichtungen. {\"A}ngste vor k{\"o}rperlichen Erkrankungen waren h{\"a}ufiger als {\"A}ngste vor psychischen St{\"o}rungen, die keiner signifikanten zeitlichen Ver{\"a}nderung unterlagen. Schlussfolgerung: Die Besch{\"a}ftigung mit psychischen St{\"o}rungen geht nicht zwangsl{\"a}ufig mit einem Anstieg von {\"A}ngsten vor psychischen Erkrankungen unter Psychologiestudierenden einher. Erh{\"o}hte Belastungswerte bei allen Studierenden legen nahe, dass das Studium selbst eine Herausforderung darstellt, f{\"u}r deren Bew{\"a}ltigung Unterst{\"u}tzung angeboten werden kann. the same level of fear regarding health anxiety as students of other disciplines. Their anxiety about suffering from physical illnesses was also greater than their anxiety about suffering from mental disorders. Conclusion: Studying mental disorders does not necessarily result in an increase of related health anxiety. However, university studies seem to be a burdensome period of life in their own right, for which coping support can be provided.},
  language  = {de}
}
@article{RichtbergJakobHoeflingetal.2016,
  author    = {Richtberg, Samantha and Jakob, Marion and Hoefling, Volkmar and Weck, Florian},
  title     = {Patient Characteristics and Patient Behavior as Predictors of Outcome in Cognitive Therapy and Exposure Therapy for Hypochondriasis},
  series = {Journal of clinical psychology},
  volume    = {73},
  journal   = {Journal of clinical psychology},
  number    = {6},
  publisher = {Wiley},
  address   = {Hoboken},
  issn      = {0021-9762},
  doi       = {10.1002/jclp.22356},
  pages     = {612 -- 625},
  year      = {2016},
  abstract  = {ObjectivePsychotherapy for hypochondriasis has greatly improved over the last decades and cognitive-behavioral treatments are most promising. However, research on predictors of treatment outcome for hypochondriasis is rare. Possible predictors of treatment outcome in cognitive therapy (CT) and exposure therapy (ET) for hypochondriasis were investigated. MethodCharacteristics and behaviors of 75 patients were considered as possible predictors: sociodemographic variables (sex, age, and cohabitation); psychopathology (pretreatment hypochondriacal symptoms, comorbid mental disorders, and levels of depression, anxiety, and somatic symptoms); and patient in-session interpersonal behavior. ResultsSeverity of pretreatment hypochondriacal symptoms, comorbid mental disorders, and patient in-session interpersonal behavior were significant predictors in multiple hierarchical regression analyses. Interactions between the predictors and the treatment (CT or ET) were not found. ConclusionsIn-session interpersonal behavior is an important predictor of outcome. Furthermore, there are no specific contraindications to treating hypochondriasis with CT or ET.},
  language  = {en}
}
@article{ProbstJakobKaufmannetal.2018,
  author    = {Probst, Thomas and Jakob, Marion and Kaufmann, Yvonne Marie and M{\"u}ller-Neng, Julia M. B. and Bohus, Martin and Weck, Florian},
  title     = {Patients' and therapists' experiences of general change mechanisms during bug-in-the-eye and delayed video-based supervised cognitive-behavioral therapy},
  series = {Journal of clinical psychology},
  volume    = {74},
  journal   = {Journal of clinical psychology},
  number    = {4},
  publisher = {Wiley},
  address   = {Hoboken},
  issn      = {0021-9762},
  doi       = {10.1002/jclp.22519},
  pages     = {509 -- 522},
  year      = {2018},
  abstract  = {ObjectiveThis secondary analysis of a randomized controlled trial investigated whether bug-in-the-eye (BITE) supervision (live computer-based supervision during a psychotherapy session) affects the manner in which patients and therapists experience general change mechanisms (GCMs) during cognitive-behavioral therapy (CBT). MethodA total of 23 therapists were randomized either to the BITE condition or the control condition (delayed video-based [DVB] supervision). After each session, both patients (BITE: n=19; DVB: n=23) and therapists (BITE: n=11; DVB: n=12) completed the Helping Alliance Questionnaire (HAQ) and the Bernese Post Session Report (BPSR). The HAQ total score and the 3 secondary factors of the BPSR (interpersonal experiences, intrapersonal experiences, problem actuation) functioned as GCMs. Multilevel models were performed. ResultsFor patients, GCMs did not develop differently between BITE and DVB during CBT. Therapists rated the alliance as well as interpersonal and intrapersonal experiences not significantly different between BITE and DVB during CBT, but they perceived problem actuation to increase significantly more in BITE than in DVB (p<.05). ConclusionBITE supervision might be helpful in encouraging CBT therapists to apply interventions, which focus on the activation of relevant problems and related emotions.},
  language  = {en}
}
@article{MeissnerWeckKuehne2020,
  author    = {Meissner, Claudia and Weck, Florian and K{\"u}hne, Franziska},
  title     = {Screening dysfunktionaler {\"U}berzeugungen bei Zwangsst{\"o}rungen},
  series = {Psychotherapeut},
  volume    = {65},
  journal   = {Psychotherapeut},
  number    = {3},
  publisher = {Springer},
  address   = {New York},
  issn      = {0935-6185},
  doi       = {10.1007/s00278-020-00410-4},
  pages     = {181 -- 189},
  year      = {2020},
  abstract  = {Background Dysfunctional beliefs and assumptions of obsessive thoughts are decisive for the etiology and maintenance of obsessive compulsive disorders (OCD). The reliable and valid assessment of these beliefs using screening procedures is relevant for the cognitive behavioral therapy. Objective Based on the domains suggested by the Obsessive Compulsive Cognitions Working Group (OCCWG), the aim of the current study was a scoping review of recent screening instruments on those domains relevant to OCD. The psychometric properties were systematically evaluated and their features were compared. Material and methods The literature search was conducted in the Web of Science Core Collection, Google Scholar und PubMed. English and German screening instruments for adults (>= 18 years) were included. Results A total of 56 studies on testing of psychometric characteristics of 16 screening instruments were included. The questionnaires included all domains of dysfunctional beliefs. In addition, four of them assessed multiple domains and nine were in the German language. The majority of screening procedures showed adequate to good psychometric properties. The methodological quality of the studies was heterogeneous, statistical and methodological procedures became more complex over the years. Conclusion Further research is necessary on disorder-related specificity and sensitivity to change for screening measures in different clinical samples.},
  language  = {de}
}
@article{MaiwaldJungaLangetal.2019,
  author    = {Maiwald, Lisa Marie and Junga, Yvonne Marie and Lang, Thomas and Montini, Romina and Witth{\"o}ft, Michael and Heider, Jens and Schr{\"o}der, Annette and Weck, Florian},
  title     = {The role of therapist and patient in-session behavior for treatment outcome in exposure-based cognitive behavioral therapy for panic disorder with agoraphobia},
  series = {Journal of clinical psychology},
  volume    = {75},
  journal   = {Journal of clinical psychology},
  number    = {4},
  publisher = {Wiley},
  address   = {Hoboken},
  issn      = {0021-9762},
  doi       = {10.1002/jclp.22738},
  pages     = {614 -- 626},
  year      = {2019},
  abstract  = {Objective There is a very limited amount of research on the relationship between therapist and patient in-session behavior and treatment outcome in cognitive behavioral therapy (CBT) for panic disorder with agoraphobia (PD/AG). Additionally, the findings tend to be inconclusive. This study investigates the association between therapist competence, adherence, patient interpersonal behavior, and therapeutic alliance and outcome in a low-control CBT setting by using comprehensive measures. Methods Twenty-six patients with PD/AG received 12 sessions of exposure-based CBT. With regard to the outcome, treatments were classified either as problematic or nonproblematic by means of distinct criteria. Two raters evaluated the in-session behavior. Results Patient interpersonal behavior was significantly associated with outcome at follow-up (r = 0.49). At posttreatment, the correlation did not reach significance ( r = 0.34). Competence, adherence, and alliance were not outcome associated. Conclusion The findings emphasize the need for therapists to pay particular attention to patients' interpersonal behavior during treatment.},
  language  = {en}
}
@article{MaassKuehnePoltzetal.2022,
  author    = {Maaß, Ulrike and K{\"u}hne, Franziska and Poltz, Nadine and Lorenz, Anna and Ay-Bryson, Destina Sevde and Weck, Florian},
  title     = {Live supervision in psychotherapy training},
  series = {Training and education in professional psychology},
  volume    = {16},
  journal   = {Training and education in professional psychology},
  number    = {2},
  publisher = {American Psychological Association},
  address   = {Washington},
  issn      = {1931-3918},
  doi       = {10.1037/tep0000390},
  pages     = {130 -- 142},
  year      = {2022},
  abstract  = {There is increasing interest in improving psychotherapy training using evidence-based supervision. One approach is live supervision (LS), in which the supervisor offers immediate feedback to the trainee (e.g., via microphone, text messages) during the session. This review summarizes the research on LS and its main results. The databases Web of Science Core Collection, PsycArticles, PsycBooks, PsycInfo, PSYNDEX, Psychology and Behavioral Sciences Collection, and PubMed were searched from inception to January 23, 2020 (including a backward search) and updated November 15, 2020. The inclusion criteria (i.e., main focus on LS, immediate feedback from a present supervisor, psychological setting) were met by k = 138 publications, including k = 8 randomized controlled trials (RCTs; N = 339). Two reviewers independently evaluated the RCTs' risk of bias using the revised Cochrane Risk-of-Bias Tool. Most publications had a family therapy background (59\%), were categorized as nonempirical (55\%), aimed primarily at describing or comparing specific LS methods (35\%), and displayed positive views on LS (87\%). Based on the RCTs, LS was superior to no-supervision in 78\% of all comparisons, but only in 13\% of the cases compared to a delayed supervision (DS) condition (i.e., regarding trainee skills, patient outcomes, or other variables). These results somewhat contradict the overall favorable views in the literature. However, the generalizability is limited due to a lack of high-quality studies and substantial heterogeneity in terms of LS methods, concepts, outcomes, and measurements. Ideas for more systematic research on LS regarding objectives and methods are proposed. <br /> Public Significance Statement This review summarizes research on live supervision (LS). LS is a form of supervision in psychotherapy training in which the supervisor observes the trainee's therapy session and provides immediate feedback. The review concludes that LS is probably as effective as delayed supervision (DS), although more high-quality research is needed.},
  language  = {en}
}
@article{MaassKuehneMaasetal.2020,
  author    = {Maaß, Ulrike and K{\"u}hne, Franziska and Maas, Jana and Unverdross, Maria and Weck, Florian},
  title     = {Psychological interventions for health anxiety and somatic symptoms},
  series = {Zeitschrift f{\"u}r Psychologie = Journal of psychology},
  volume    = {228},
  journal   = {Zeitschrift f{\"u}r Psychologie = Journal of psychology},
  number    = {2},
  publisher = {Hogrefe},
  address   = {G{\"o}ttingen},
  issn      = {2190-8370},
  doi       = {10.1027/2151-2604/a000400},
  pages     = {68 -- 80},
  year      = {2020},
  abstract  = {This study examined the effectiveness of psychological interventions for severe health anxiety (SHA) regarding somatic symptoms (SS) and health anxiety (HA). The databases Web of Science, EBSCO, and CENTRAL were searched on May 15, 2019, May 16, 2019, and August 5, 2019, respectively. Eighteen randomized controlled trials (N = 2,050) met the inclusion criteria (i.e., hypochondriasis, illness anxiety disorder or somatic symptom disorder with elevated HA being assessed with validated interviews: use of standardized outcome measures). Two reviewers independently evaluated the studies' risk of bias using the Revised Cochrane Risk-of-Bias Tool for randomized trials (RoB-2) tool. Overall, psychological interventions were significantly more effective than waitlist, treatment-as-usual, or placebo post-treatment (g(SS) = 0.70, g(HA) = 1.11) and at follow-up (g(SS) = 0.33, g(HA)= 0.70). CBT outperformed other psychological interventions or pharmacotherapy for HA post- treatment (Hedge's g(HA) = 0.81). The number of sessions did not significantly predict the effect sizes. In sum, psychological interventions were effective for SHA, but the generalizability of the results for SS is limited, because only two high-quatity trials contributed to the comparison.},
  language  = {en}
}
@misc{MaassKuehneHeinzeetal.2022,
  author    = {Maaß, Ulrike and K{\"u}hne, Franziska and Heinze, Peter Eric and Ay-Bryson, Destina Sevde and Weck, Florian},
  title     = {The concise measurement of clinical communication skills},
  series = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  journal   = {Zweitver{\"o}ffentlichungen der Universit{\"a}t Potsdam : Humanwissenschaftliche Reihe},
  number    = {820},
  issn      = {1866-8364},
  doi       = {10.25932/publishup-58264},
  url       = {http://nbn-resolving.de/urn:nbn:de:kobv:517-opus4-582642},
  pages     = {10},
  year      = {2022},
  abstract  = {Objective: There is a lack of brief rating scales for the reliable assessment of psychotherapeutic skills, which do not require intensive rater training and/or a high level of expertise. Thus, the objective is to validate a 14-item version of the Clinical Communication Skills Scale (CCSS-S). Methods: Using a sample of N = 690 video-based ratings of role-plays with simulated patients, we calculated a confirmatory factor analysis and an exploratory structural equation modeling (ESEM), assessed convergent validities, determined inter-rater reliabilities and compared these with those who were either psychology students, advanced psychotherapy trainees, or experts. Results: Correlations with other competence rating scales were high (rs > 0.86-0.89). The intraclass correlations ranged between moderate and good [ICC(2,2) = 0.65-0.80], with student raters yielding the lowest scores. The one-factor model only marginally replicated the data, but the internal consistencies were excellent (α = 0.91-95). The ESEM yielded a two-factor solution (Collaboration and Structuring and Exploration Skills). Conclusion: The CCSS-S is a brief and valid rating scale that reliably assesses basic communication skills, which is particularly useful for psychotherapy training using standardized role-plays. To ensure good inter-rater reliabilities, it is still advisable to employ raters with at least some clinical experience. Future studies should further investigate the one- or two-factor structure of the instrument.},
  language  = {en}
}